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Japanese

Title 小児がん患者の復学に向けた小児病棟看護師の支援の実施状況と課題
Subtitle 資料
Authors 長友恵莉, 植木慎悟, 宮田潤子
Authors (kana)
Organization 九州大学
Journal 日本小児看護学会誌
Volume 33
Number
Page 89-96
Year/Month 2024 /
Article 報告
Publisher 日本小児看護学会
Abstract 「抄録」 小児病棟看護師が行う小児がん患者の復学に向けた支援の実施状況と課題を明らかにすることを目的とし, 15歳以下の小児がん患者への看護経験がある小児病棟看護師136名から得られた無記名式質問紙の回答を分析した. 実施状況は設問項目ごとに記述統計量を求め, 自由回答で求めた支援の課題は意味の類似性によって分類した. 結果, 晩期合併症の説明を子どもへ毎回実施している看護師は32.4%で全項目中最も少なかった. 課題では, 【小児がん患者や家族に復学を前向きにとらえてもらうことが難しい】, 【学校側のスムーズな復学のための情報・体制・対応が不足している】, 【医療従事者としての入院から退院後の継続した復学支援が難しい】の3カテゴリーが抽出された. 看護師は必要な復学支援をしていたが, 課題を感じていることも明らかとなった. 今後は, 復学支援にかかわるすべての人がそれぞれの役割を認識し, スムーズな支援につながるツールの作成が必要である.
Practice 看護学
Keywords 小児がん, 復学支援, 小児病棟看護師, 退院支援, childhood cancer, support for returning to school, pediatric ward nurses, discharge support

English

Title Practices and issues of pediatric nursing support toward children with cancer returning to school
Subtitle
Authors Eri Nagatomo, Shingo Ueki, Junko Miyata
Authors (kana)
Organization Kyushu University
Journal Journal of Japanese Society of Child Health Nursing
Volume 33
Number
Page 89-96
Year/Month 2024 /
Article Report
Publisher Japanese Society of Child Health Nursing
Abstract [Abstract] This study aimed to understand the level of nursing support available to pediatric patients with cancer, and their families, when returning to school following discharge from a pediatric ward. An anonymous questionnaire survey was conducted. Participants included nurses who worked in pediatric wards and had experience caring for pediatric patients with cancer aged <15 years. Qualitative data were categorized into similar groups based on the inferred meaning obtained from the survey response of participants discussing problems in the support available to pediatric patients returning to school. A total of 136 participants were included in this study. Participant responses revealed that 32.4% of the nurses explained late complications to the children every time they were treated, which was the lowest among all items in the practice status. In addition, the following challenges were found regarding supporting pediatric patients with cancer returning to school: difficulty in enabling affected children and their families to view return to school positively; a paucity of information, system, and support from schools to ensure a smooth transition for these patients returning to school; and difficulty for medical professionals in providing continued support during the return-to-school period following patient hospitalization and their subsequent discharge. Although nurses provided the necessary supports for returning to school to the patient and family, they encountered some challenges. It is necessary to create a tool that can be used by all medical professionals involved in supporting pediatric patients with cancer returning to school to achieve seamless support.
Practice Nursing
Keywords childhood cancer, support for returning to school, pediatric ward nurses, discharge support
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